Dane Baker OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1558780973 Issued in MI

Legal business name

DANE BAKER OD PC

Practice address

1700 N Stephenson Ave
Iron Mountain, MI 49801-1411

Phone

(906) 774-6288

NPI assigned

Nov 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dane Baker, ODNPI 1558780973

Title

Owner

Phone

(906) 774-6288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dane Baker, O.D.

  • Optometrist
  • Iron Mountain, MI
  • NPI 1558780973
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Grace Ramlow, OD

  • Optometrist
  • Iron Mountain, MI
  • NPI 1518696640
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1124570684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011411",
            "telephone_number": "906-774-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011411",
            "telephone_number": "906-774-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE BAKER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-774-6288",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "1558780973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beata Maria Czarniak, RESPIRATORY THERAPIS
• Elyse D'Amico
• Carrie Daffron
• Debra Ann Dagen, RN
• Dylan Dal Santo
• Jena Marie Danielczak, RN
• Buck J Darley, FNP-C
• Terilyn Marie Darley, APRN
• Mark Davis
• Marie Grace De Guzman

• Optometrist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.